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General NPI Number Information
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NPI Number | 1891325510
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Entity Type | Individual
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Provider Name | PRESTON JOHN QUICK FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 20375 WEST 151ST. STE 105
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City | OLETHE
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State | KS
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Zip | 66061
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Country | US
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Telephone | 913-557-5678
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Fax | 913-557-5681
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Provider Business Mailing Address
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Address Line | 17183 S. KIMBLE ST.
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City | OLATHE
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State | KS
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Zip | 66062
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Country | US
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Telephone | 913-638-0574
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 13-130493-011
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 20150225973
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5379258
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License Number State | KS
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